LYNN HEIDEMANN (NPI# 1285970004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285970004 |
| Entity Type | Individual |
| Full Name | LYNN HEIDEMANN |
| Credential | LICSW |
| Practice Address |
13603 80th Cir N Maple Grove MN 55369-8961 |
| Mailing Address |
8097 Kirkwood Ln N Maple Grove MN 55369-7181 |
| Practice Telephone | 7632743120 |
| Practice Fax Number | 7632743121 |
| Mailing Telephone | 6127903402 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
22097 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780935460 | Lynn M Heidemann | Registered Nurse | 203 Ski Ct, Unit D, Madison, WI 53713-4604 | 2012-09-21 |
| Street Address |
13603 80TH CIR N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-8961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548345655 | Anupama Chauhan | Psychiatry & Neurology | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2006-10-26 |
| 1649897356 | Christopher Cutler Dozier Jr. | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2020-06-29 |
| 1336782408 | Diane Branson | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-10-22 |
| 1043853336 | Abel O. Bwianchinga | Nurse Practitioner | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-10-20 |
| 1376191940 | Lisa Landen Thompson | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-08-28 |
| 1164079919 | Grant Soe | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-08-26 |
| 1528628872 | Anna Thelen | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-06-18 |
| 1801452768 | Steven Clifford Strickland | Psychologist | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-05-16 |
| 1710543129 | Lauren Ashley Lindquist | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-05-13 |
| 1225691868 | Ho Kwan Lok | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2019-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063044261 | Sarah Voeller | Social Worker | 6493 Sycamore Ct N, Maple Grove, MN 55369-6028 | 2020-02-06 |
| 1316483365 | Catherine Schallberg | Social Worker | 17208 77th Ave N, Maple Grove, MN 55311-3751 | 2017-01-15 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1942681879 | Kelly Wesner | Social Worker | 7200 Forestview Ln N, Maple Grove, MN 55369-5571 | 2015-06-16 |
| 1306197751 | Shelly Denae Graf | Social Worker | 13024 89th Ave N, Maple Grove, MN 55369-9513 | 2012-09-25 |
| 1972881498 | Natalie Marie Skow | Social Worker | 315 W Eagle Lake Dr, Maple Grove, MN 55369-5552 | 2011-08-01 |
| 1154615649 | Reimann Counseling Clinic, Pllc | Social Worker | 11292 86th Ave N, Suite 106, Maple Grove, MN 55369-4510 | 2011-06-02 |
| 1053630509 | Paula A Monson | Social Worker | 6924 Xene Ln N, Maple Grove, MN 55311-1828 | 2010-05-24 |
| 1245554161 | Mary Ellen Bigham | Social Worker | 13603 80th Circle North, Maple Grove, MN 55369 | 2010-03-22 |
| 1154503076 | Beth K. Peterson | Social Worker | 7365 Kirkwood Ct., Suite 360, Maple Grove, MN 55369 | 2007-12-03 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.